What’s Coming: The Roadmap to Exposing American Healthcare
The Rojas Report isn’t slowing down.
Here’s what you can expect:
Monday through Friday: Healthcare economics and policy.
Saturdays: Tips for physicians who own independent practices.
Sundays: Introspective insights.
Starting Monday January 5, we release the most comprehensive series of investigations, histories, and policy frameworks we’ve ever published.
Each piece builds on the last.
Together, they form a complete picture of how American healthcare became the most expensive, least accessible system in the developed world and what we’re going to do about it.
Here’s what’s on deck.
The History of Certificate of Need Laws
CON laws are the foundation of hospital monopolies in America.
Sold to the public as cost containment, they became the single most effective tool for blocking competition and protecting incumbent systems.
We traced CON from its 1970s federal origins through its state-by-state entrenchment, showing exactly how these laws created the consolidation crisis we live with today.
The maps.
The loopholes.
The beneficiaries.
All of it exposed.
Why Your Premiums Are So Expensive
Most Americans assume their health insurance costs what it costs because healthcare is inherently expensive.
That’s the lie.
We break down the actual flow of premium dollars.
Where they go, who takes a cut, and why the system is designed to keep prices rising.
This isn’t ideology.
It’s accounting (Dutch Rojas is an accountant).
HCSC and the Blue Cross Blue Shield Scam
Health Care Service Corp operates Blue Cross Blue Shield plans in Illinois, Montana, New Mexico, Oklahoma, and Texas. It’s the largest customer-owned health insurer in the country.
Customer-owned.
So why do premiums keep climbing while executive compensation explodes?
Why does a “nonprofit” insurer behave exactly like its for-profit competitors?
We have pulled the financials and will show you what “customer-owned” actually means in practice.
The History of the AMA and AHA
The American Medical Association and American Hospital Association are the two most powerful healthcare lobbying organizations in Washington.
Both started with legitimate missions.
Physician advocacy.
Patient safety.
Professional standards.
Both became captured institutions that now prioritize self-preservation over the people they claim to represent.
We have documented the full arc, from noble origins to regulatory capture, so you understand exactly who’s shaping healthcare policy and why.
Open Letters to Governors and Lawmakers
We are done waiting for intermediaries.
Starting soon, we are publishing open letters directly to governors, state legislators, and members of Congress. Each letter will be specific, data-driven, and public.
No backroom meetings.
No lobbyist translations.
Just the facts about what their policies are doing to physicians and patients in their states.
If they respond,
We will publish that too.
The 2026 Midterms
Healthcare premiums and Medicaid fraud will be the two defining issues of the 2026 midterm elections.
Every candidate will have to answer for them.
Most won’t want to.
We have built a scorecard that rates every relevant member of Congress on one question: Are you making healthcare more affordable and accessible, or are you protecting the incumbents who profit from the status quo?
We started with Ro Khanna, Kevin Hern, Rand Paul, and Roger Marshall. And we are scoring every senator and representative up for reelection.
No party loyalty.
No sacred cows.
Just policy.
We are interviewing the lawmakers who make these decisions. You’ll hear directly from the people who vote on your premiums, your access, your care.
Policy Solutions and Private Solutions
Exposing the problem isn’t enough.
We have to fix it.
We are publishing a comprehensive framework of solutions that work at every level:
Legislative fixes that don’t require a supermajority or a political miracle.
State-level reforms already showing results in places willing to try.
Private market solutions that physicians and employers can deploy right now without waiting for Washington.
These are operational playbooks.
Why This Matters
Healthcare is 20% of American GDP.
In 2025, total healthcare spending is projected to hit $5.7 trillion.
To put that in perspective:
That’s larger than the entire economy of Japan.
It’s more than the combined GDP of Canada, Mexico, and Australia.
It’s roughly $17,000 for every man, woman, and child in the United States.
And yet there’s no dedicated, independent media operation covering it the way CNBC covers markets or ESPN covers sports.
That’s what we are building at The Rojas Report.
The Rojas Report is reader-supported armed with the truth about how the system works and how to fix it.
Join the Mission
If you’re reading this, you already know something is wrong.
The question is whether you want to understand exactly what and what to do about it.
Free subscribers get every exposé, every investigation, every policy breakdown.
Paid subscribers get early access, behind-the-scenes analysis, and direct input into what we cover next.
Every subscription funds the research.
Every share expands the reach.
Making healthcare affordable and accessible for everyone, everywhere.
That’s the mission.
Rojas out.




We posted a Substack note summarizing your plans for 2026. Hope this is helpful:
What’s Coming: The Roadmap to Exposing American Healthcare. The Rojas Report isn’t slowing down. By Dutch Rojas (01/03/26): https://tinyurl.com/yzbp7j3h
Can’t wait!!